Organization Active NPI

Vigilant Mindz

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1962861641
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1152 Issued in VA
Legal business name
VIGILANT MINDZ
Practice address
1801 E Broad St
Richmond, VA 23223-6974
Phone
(804) 306-0163
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn Lamont Minter, BSW, QMHP
Title
Owner
Phone
(804) 306-0163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1152 VA Primary

Addresses

Primary practice location

1801 E Broad St
Richmond, VA 23223-6974

Mailing address

PO Box 945
Richmond, VA 23218-0945
Phone (804) 306-0163

Other identifiers 1

IdentifierTypeStateIssuer
1801041132MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Vigilant Mindz2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1801 E Broad St
Richmond, VA 23223
Phone (804) 306-0163

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1962861641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232180945",
            "telephone_number": "804-306-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236974",
            "telephone_number": "804-306-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANT MINDZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "MINTER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-306-0163",
        "authorized_official_credential": "BSW, QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801041132",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.